Students Name: Ramos, Shelly Mae A.

Date: January 31,2012

Patients Initials: L.T.

NURSING CARE PLAN

ASSESSMENT DIAGNOSI BACKGROU PLANNIN INTERVENTIO RATIONAL EVALUATION

S ND G N E
KNOWLEDG
E
Subjective: Impaired Through the After 2-3 INDEPENDENT: GOAL MET
tissue bodys blood hours of >Noted current To After 2-3 hours
Nahihirapan of nursing
perfusion circulation, nursing situation of determine
akong intervention the
related to the body is intervention conditions that factors
huminga as patient was able
decreased supplied by the patient can affect affecting the
verbalized by to:
RBC(37.76), different will be able perfusion to all systemic > Verbalize
the client
hematocrit( nutrients. to: body systems circulation. understanding of
24.8) and Specifically, condition,
hemoglobin the RBCs >Verbalize >Assessed therapy regimen
Objective: (84) levels carries understandi presence and and when to
in the body oxygenated contact health
>RBC : 37.76 ng of degree of This is to care provider
secondary blood to the condition, edema monitor the
>Hematocrit :
to bleeding. whole body therapy degree of
24.8 > Verbalize ways
including the regimen impairment to improve
>Hemoglobin :
peripheral and when tissue perfusion
84.0 >Measured
and distal to contact
>Edema in capillary refill To
parts. The health care
lower determine
hemoglobin provider.
extremities adequacy of
and
grade 2 >Noted circulation
hematocrit >Verbalize presence of
levels in the ways to bleeding Bleeding is
blood are as improve
Students Name: Ramos, Shelly Mae A. Date: January 31,2012
Patients Initials: L.T.

NURSING CARE PLAN

important for tissue a significant

effective perfusion sign that
tissue may
perfusion and COLABORATIVE contribute
to supply the >administered to tissue
bodys needs. O2 2-3L/min as perfusion
prescribed and
circulation

To promote
optimum
oxygenation
/ perfusion
in the
circulation